EVELYN B MADDELA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

NOT RENEWED

Business

First Name

EVELYN B

Last Name

MADDELA

Suffix

Business Name

EVELYN B MADDELA MD

Original Issue Date

07/18/2011

Effective Date

04/18/2014

Expiration Date

07/31/2017

City

SKOKIE

State

Zip

60076

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

11/01/2017